Membership Registration

  • Choose a user name for your PINA login.
  • When is your birthday?
    What kind of PDC did you attend?
    Checking this box means you are giving permission for us to share your e-mail with other PINA members wishing to organize a hub in your area.
  • $0.00
  • This field is for validation purposes and should be left unchanged.

If you wish to mail your application, print the Membership Application Form and send it to the listed address.

Handout: Membership Application Form (pdf)